1Departments of Orthopaedic Surgery (A.M.C., A.F.C., and V.M.S.), Anesthesiology (A.S.), and Physical Therapy (J.F.J.), Brigham Health, Boston, Massachusetts.
JBJS Rev. 2020 Jun;8(6):e0176. doi: 10.2106/JBJS.RVW.19.00176.
Same-day-discharge total joint arthroplasty is becoming increasingly feasible because of advances in anesthesia, physical therapy, surgical techniques, and perioperative protocols. In appropriately selected patient populations, same-day-discharge total joint arthroplasty is safe, does not increase readmission rates, and is cost-effective. As the push for value-driven health care continues and the incidence of total joint arthroplasty continues to grow, same-day-discharge arthroplasty will likely become more prevalent and increasingly incentivized. A team-based approach to each phase of care is vital for effective and safe same-day-discharge total joint arthroplasty.
由于麻醉、物理治疗、手术技术和围手术期方案的进步，当天出院的全关节置换术变得越来越可行。在适当选择的患者人群中，当天出院的全关节置换术是安全的，不会增加再入院率，并且具有成本效益。随着以价值为导向的医疗保健的持续推进以及全关节置换术的发病率持续增长，当天出院的关节置换术可能会变得更加普遍，并越来越受到激励。在护理的每个阶段采用团队合作方法对于有效的和安全的当天出院的全关节置换术至关重要。
